HomeMy WebLinkAboutPOLICE RECORDS 03042022 City of Bremerton Public Records Destruction Log
The purpose of this form is to document compliance and reasonable accountability by verifying that specific public records have met current, approved minimum retention
periods before being destroyed pursuant to RCW 40.14.070, WAC 434-610.070, and WAC 434.640.010, -020, and -030. Please fill out this form when destroying public records
whose minimum retention is other than "Retain until no longer needed for agency business then destroy" (such as records covered in the "Records with Minimal Retention
Value"section of the Local Government Records Retention Schedule(CORE)).
Legal Disposition Authority(taken from Records Retention Schedule) Agency Records
Description Date Method of
Records Series Records Retention Minimum Destruction(See
Records Series Title Minimum Retention Period (Box/Item numbers, Dates Covered
DAN Schedule Retention
volume,etc.) Met examples below
Firearm Law Retain no later than 20 days 43 applications 02/05/22 to 02/11/22 03/04/22 In house
Purchase/Transfer LE2010-049 Enforcement after request received then shredding
Request Rev 1 Schedule destroy
*Examples of methods of destruction:electronic deletion,in-house OR outside contractor shredding,secure recycling,other(describe)
Statement: The public records listed above have met their minimum retention period(s), are not subject to ongoing or reasonably anticipated litigation or
public records requests, are not needed for audit or other agency business, and shall be destroyed.
The individual responsible for inventorying the listed records must sign below prior to the Record's Manager approval:
Employee Signature: SL L Printed Name: Marie Hansen Division: Records
The Records Manager must sign the approval of this request prior to the destruction of the listed records:
Records Manager Signature: Printed Name: Marie Hansen Date Approved: 03/04/22
The person/people responsible for the destruction of records must sign upon destruction of the listed records:
r(
Employee Signature: Printed Name: Marie Hansen Date Records Destroyed: 03/04/22
Vendor Business Name(if used): Phone:
Vendor Signature: Printed Name: Date Records Destroyed:
The retention and disposition action for this Public Records Destruction Log is"Retain for the life of the agency"pursuant to CORE series G550-09-06.
Form Revised 05/06/2014
L;tK I II-IVA I t Ur Utb I KUIL I IUN
Name: CO OP POLICE-BREMERTON Le Moil Mobile \Po9F°Rt j FOR '
Address: 1025 BURWELL ST "ice ,�y�fa l j j f j/� o
�/ CERTIFIED �
City: BREMERTON 98337 %%j i /%/%/� ��
Phone: 360-900-6300 %/%ii ����//ii�i0/ii�0iiiii�/i,.�// �� , 9�
Request: KEVIN-PT °�'(17y: I.°�
Account : 2185-952778-700 Service Date: 3/8/2022 Route Id: SN92 Ticket#: 1571718
On the date shown, Designated Confidential Data was Shredded and Destroyed as per Customers Instructions,
CUSTOMER COPY
Service Description Qty Rate Amount
65SC 9.00 65 GAL SHRED CART / 13.65
SHEXB 1.00 SHRED EXTRA BOX 3.78
(-4
Driver Signature: Date: Truck
Customer Signature: Date: Time
2910 Hogum Bay Rd Olympia Wa 98516 E-Mail: Ims@wcnx.org Phone: 1-877-898-0112 Fax: 1-360-486-2467